Good Night Pediatrics South Mountain Pc

LBN: Good Night Pediatrics South Mountain Pc
Good Night Pediatrics South Mountain Pc is an health care organization with primary practice located at 325 E Baseline Rd , Phoenix AZ 85042-6510. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Good Night Pediatrics South Mountain Pc can be contacted via phone (602) 824-4228, or through Shick, Kathy via phone (623) 643-9233.

Contact Information

Primary practice address
325 E Baseline Rd Phoenix AZ 85042-6510
Phone: (602) 824-4228
Fax: (602) 824-4259
Website:
Map and Directions
Authorized official contact:
Name: Shick, Kathy
Phone: (623) 643-9233

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Arizona

Profile Details

NPI number 1902888027
LBN Legal business name Good Night Pediatrics South Mountain Pc
DBA Doing business as
Authorized official Shick, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902888027 NPPES
Arizona MEDICAID 961004

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